Lead Site Reliability Engineer

Posted Yesterday
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New York, NY, USA
Hybrid
200K-250K Annually
Expert/Leader
Cloud • Healthtech • Internet of Things • Machine Learning • Software
Intelligent Orchestration for Healthcare Operations
The Role
Lead reliability, performance, automation, and scalability for a 24/7 AWS-based healthcare platform. Responsibilities include designing fault-tolerant infrastructure, managing Kubernetes and Docker environments, implementing Terraform and GitOps, improving observability, leading incident response and disaster recovery, and ensuring HIPAA and SOC 2 compliance. The role also sets technical strategy, reduces downtime through self-healing automation, and leads and mentors the SRE team.
Summary Generated by Built In

About Kontakt.io

Every day, intelligent software orchestrates the physical world around us – from matching drivers with riders to optimizing global supply chains. Yet inside hospitals, where every second and every decision can affect a patient's life, operations are still spread across dozens of disconnected systems.

At Kontakt.io, we're changing that. By combining proprietary hardware, AI-powered intelligence, and deep integrations with the systems hospitals already rely on, we're creating a real-time understanding of hospital operations that software alone can't deliver. That intelligence powers the execution layer hospitals have been missing – helping care teams make smarter decisions and deliver better patient care.

Backed by Goldman Sachs and trusted by leading health systems including HCA Healthcare, Sutter Health, AdventHealth, Trinity Health, Northwell Health, Cleveland Clinic, and the U.S. Department of Veterans Affairs, we're pioneering the next generation of healthcare operations. We've more than doubled our revenue over the past year and are on track to surpass $70M in annual recurring revenue – not because we're following a market, but because we're defining one.

If you're excited to solve hard problems, work with a team of builders, and help hospitals deliver better care every day, we'd love to meet you!

We’re looking for a Lead Site Reliability Engineer to own the reliability, performance, and automation of our cloud-based, real-time platform. This role will focus on keeping our platform running smoothly 24/7, minimizing downtime, improving observability, incident response, and self-healing automation. You will lead and scale the SRE team to ensure our infrastructure stays ahead of demand, operates efficiently, and meets the needs of our growing healthcare customers.

What You'll Do

  • Ensure 99.99% uptime across our cloud platform, meeting strict SLAs for healthcare customers.
  • Design and implement self-healing, fault-tolerant systems to prevent failures before they happen.
  • Define SLIs, SLOs, and SLAs, ensuring proactive performance monitoring and incident resolution.
  • Architect and manage scalable cloud infrastructure (AWS) for massive real-time data processing.
  • Optimize containerized environments (Kubernetes, Docker) to support multi-region deployments.
  • Lead the adoption of infrastructure as code (Terraform) to fully automate infrastructure management.
  • Build and refine a world-class monitoring, alerting, and logging system using Prometheus, Grafana, OpenTelemetry, and Datadog.
  • Lead incident response and on-call operations, reducing mean time to detection (MTTD) and mean time to resolution (MTTR).
  • Conduct blameless postmortems and continuously improve system resilience.
  • Reduce manual intervention through automated deployment, scaling, and failover mechanisms.
  • Partner with Security & Compliance teams to ensure infrastructure meets HIPAA and SOC 2 standards.
  • Lead disaster recovery and business continuity planning to ensure critical healthcare services are always available.
  • Drive technical strategy and roadmap for scalability, monitoring, and reliability engineering.
  • Collaborate with Product, Engineering, and Infrastructure teams to align SRE initiatives with business priorities.

What You Have

  • 10+ years of experience in Site Reliability Engineering or Cloud Infrastructure.
  • Proven success scaling high-traffic, mission-critical platforms in SaaS, IoT, or healthcare.
  • Deep expertise in cloud platforms (AWS), Kubernetes, and distributed systems.
  • Strong background in monitoring, logging, and observability with Prometheus, OpenTelemetry, or similar tools.
  • Hands-on experience with incident management, postmortems, and building resilient systems.
  • Deep knowledge of CI/CD automation, GitOps, and infrastructure as code (Terraform, etc.).
  • A mature leadership approach, with the ability to drive technical strategy while growing and mentoring a high-performance SRE team.
  • Strong understanding of network security, access management, and compliance frameworks (HIPAA, SOC 2).

Bonus Points If You Have:

  • Experience with healthcare IT, including EHR data, FHIR, and HL7 interoperability.
  • Expertise in real-time distributed systems, event-driven architectures, or large-scale data pipelines.
  • Prior experience leading on-call rotations and major incident management processes.

Logistics, Perks & Benefits

  • Built for collaboration - our team a hybrid schedule of 3 days/week minimum from our New York City office
  • Equity in a high-growth company scaling toward $400M+ ARR and backed by leading investors
  • Full health, dental, and vision coverage, a 401k, paid time off, paid parental leave and all the tools you need to do your best work
  • Autonomy to solve meaningful problems with work that ships quickly and makes a difference

Compensation

The expected salary range for this role is $200,000 – $250,000 for New York-based candidates. Actual compensation within this range will be determined based on relevant experience, skills, and qualifications. In exceptional cases, where a candidate’s experience or qualifications significantly exceed those anticipated for this role, we may consider the candidate for a more senior level. This role may also be eligible for equity and bonus compensation.
 

Skills Required

  • 10+ years of experience in Site Reliability Engineering or Cloud Infrastructure
  • Experience scaling high-traffic, mission-critical platforms in SaaS, IoT, or healthcare
  • Deep expertise in AWS, Kubernetes, and distributed systems
  • Strong background in monitoring, logging, and observability using Prometheus, OpenTelemetry, or similar tools
  • Hands-on experience with incident management, postmortems, and resilient systems
  • Deep knowledge of CI/CD automation, GitOps, and infrastructure as code, including Terraform
  • Ability to drive technical strategy and grow and mentor an SRE team
  • Understanding of network security, access management, HIPAA, and SOC 2 compliance frameworks
  • Healthcare IT experience, including EHR data, FHIR, and HL7 interoperability
  • Expertise in real-time distributed systems, event-driven architectures, or large-scale data pipelines
  • Experience leading on-call rotations and major incident management processes
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The Company
HQ: New York , New York
135 Employees
Year Founded: 2013

What We Do

Kontakt is the only AI platform in healthcare that delivers operational predictability — maximizing capacity, safety, and decision making to enhance care delivery for patients and caregivers.

Why Work With Us

Collaborative, mission-driven team solving real healthcare challenges. Build impactful tech, grow fast, and make a difference—together.

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